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<title>参与报名--中山火炬公共文化服务</title>
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  <div id="pageTitle">参与报名</div> 
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<div class="global_width" id="globalForm">
 <form action="applySuccess.html" method="post">
    <table width="100%" border="0" bordercolor="#000" frame="hsides" cellspacing="0" cellpadding="0" class="tb">
      <tr>
        <td width="80" align="right"><span>您的姓名</span></td>
        <td><input type="text" name="name" id="name" placeholder="请输入真实姓名"></td>
      </tr>
      <tr>
        <td align="right"><span>手机号码</span></td>
        <td><input type="text" name="phone" id="phone" placeholder="请输入个人手机号码"></td>
      </tr>
      <tr>
        <td align="right"><span>验证码</span></td>
        <td><input type="text" name="code" id="code" placeholder="请输入验证码" class="row2">
        <img src="pictures/code.jpg" class="code" />
        </td>
      </tr>
      <tr>
        <td align="right"><span>联系邮箱</span></td>
        <td><input type="text" name="email" id="email" placeholder="请输入验证码"></td>
      </tr>
      <tr>
        <td align="right"><span>性   别</span></td>
        <td>
            <input type="radio" name="gender" value="male" id="gender_1" checked>男性&nbsp;
            <input name="gender" type="radio" id="gender_0" value="Female">女性 
         </td>
      </tr>
      <tr>
        <td align="right"><span>身份证号</span></td>
        <td><input type="text" name="IDNumber" id="IDNumber" placeholder="请输入个人身份证号"></td>
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        <td align="right"><span>联系地址</span></td>
        <td><textarea name="address" rows="4" id="address"></textarea><br><br></td>
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    <p><input type="submit" value="提　交" class="btn1"></p>
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        <li><a href="coupons.html">我要抢券</a></li>
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